P Praxis·MD
● Active Type 1 · Individual

Alex C Moss, PAC

Physician Assistant·Montpelier, ID· NPI 1437232659 · Enumerated 2006 · 19 years on NPI
Moss is 1 of 4 physician assistant providers in Montpelier and 1 of 1263 in Idaho.
NPI age
19 years
Enumerated 2006-10-23
Primary specialty
Physician Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-06-19
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1263 active physician assistant providers in Idaho.

NPI age
19 years
↑ 10 yr above median (9 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-10Enumerated in NPPES
2006 2026

Where they practice

Practice location
465 Washington St
Montpelier, ID 832541544
📞 2088472878fax 2088472340
Mailing address
465 Washington St
Montpelier, ID 832541544
📞 2088472878fax 2088472340

Specialties

  • Physician Assistant Primary
    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
    ID license #PA516 taxonomy 363A00000X

Identifiers

TypeValueNotes
01 (ID) 000010148620 BLUE SHIELD IDAHO INDIVID
05 (ID) 807007000
01 (ID) PAWD7 BLUE CROSS OF IDAHO INDIV
01 (ID) P00477878 MEDICARE RAILROAD
01 (ID) 8L568 BLUE CROSS IDAHO GROUP NO

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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